Vitality Physical Medicine Pllc

LBN: Vitality Physical Medicine Pllc
Vitality Physical Medicine Pllc is an health care organization with primary practice located at 5335 Eastern Ave Ste C , Davenport IA 52807-2788. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Vitality Physical Medicine Pllc can be contacted via phone (563) 424-6400, or through Brooks, Joseph Earl via phone (563) 424-6400.

Contact Information

Primary practice address
5335 Eastern Ave Ste C Davenport IA 52807-2788
Phone: (563) 424-6400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Joseph Earl Doctor of Osteopathy (DO)
Phone: (563) 424-6400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1780376129
LBN Legal business name Vitality Physical Medicine Pllc
DBA Doing business as
Authorized official Brooks, Joseph Earl Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2023
Last updated Aug 22nd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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